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DSH050441 STANFORD HEALTH CARE (Active)
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Main Details
Name
STANFORD HEALTH CARE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050441
Medicare Provider Number
050441
Additional Details
Current Program Status
Active
Registration Date
4/8/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/13/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Stanford Health Care
Linda Hoff, CFO
(650) 497-0391
Primary Contact
Stanford Health Care
Muang Lopez, 340B Business Analyst
(707) 688-1874
Addresses
Street Address
300 PASTEUR DRIVE
Stanford, CA 94305
Billing Address
Stanford Health Care
300 Pasteur Drive
Stanford, CA 94305
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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